NOTE: This form is not an official University of Pennsylvania application. This form will be used by the coaching staff to help determine prospective student-athletes.
WARNING: NCAA rules prohibit coaches from contacting freshmen and sophomores in high school. Only junior, senior and preparatory students are permitted to use this form.

Required Fields in Bold

Your Email Address:

Tell us something about yourself...

Last Name:

Middle Name:

Nickname:

First Name:

Address:

City:

State:

Zip Code:

Date of Birth:

Planned College Major:

Sport(s) you want to be recruited:

Height:

Weight:

Position:

Tell us something about your family...

Fathers Name:

Occupation:

Alma Mater:

Business Phone and Email:

Mother's Name:

Occupation:

Alma Mater:

Business Phone and Email:

Brothers / Sisters (Names/Age):

Your Academics...

School:

Address:

City:

State or Country:

Zip Code:

PSAT Score:

SAT Score (Verba)l:

SAT Score (Math):

SAT II Scores (Please list subject and score):

SAT II Scores (Please list subject and score):

SAT II Scores (Please list subject and score):

ACT Score (Composite):

Academic Honors:

Year / Graduation:

Class Rank (Out of number in class):

GPA (4.0=A):

Guidance Counselor:

School Phone:

Languages you speak fluently:

If foreign, how many years of English have you taken:

Your Athletics...

High School Coach:

Home Phone:

Club Coach:

Home Phone:

Club Name:

Age group/national ranking:

Junior world ranking:

Sports Goals / Background...

Please list your best career result(s), including date(s):

Please list your specific sport honors and/or awards:

Other schools you are interested in:

Please list any friends or relatives that are PENN alumni:

Use this space to add anything else you believe is pertinent to your application and to add anything else you wish to tell the Penn coaching staff: